BackgroundTo evaluate personal and institutional factors related to depression and anxiety prevalence of students from 22 Brazilian medical schools.MethodsThe authors performed a multicenter study (August 2011 to August 2012), examining personal factors (age, sex, housing, tuition scholarship) and institutional factors (year of the medical training, school legal status, location and support service) in association with scores of Beck Depression Inventory (BDI) and State Trait Anxiety Inventory (STAI).ResultsOf 1,650 randomly selected students, 1,350 (81.8 %) completed the study. The depressive symptoms prevalence was 41 % (BDI > 9), state-anxiety 81.7 % and trait-anxiety in 85.6 % (STAI > 33). There was a positive relationship between levels of state (r = 0,591, p < 0.001) and trait (r = 0,718, p < 0.001) anxiety and depression scores. All three symptoms were positively associated with female sex and students from medical schools located in capital cities of both sexes. Tuition scholarship students had higher state-anxiety but not trait-anxiety or depression scores. Medical students with higher levels of depression and anxiety symptoms disagree more than their peers with the statements “I have adequate access to psychological support” and “There is a good support system for students who get stressed”.ConclusionsThe factors associated with the increase of medical students’ depression and anxiety symptoms were female sex, school location and tuition scholarship. It is interesting that tuition scholarship students showed state-anxiety, but not depression and trait-anxiety symptoms.

The combination of patent blue and radionuclide techniques produced excellent results for SLN detection in cervical cancer. Preoperative lymphoscintigraphy does not offer any advantage over ILM for SLN identification.

The decrease in pulse oximetry readings after patent blue dye injection into the cervix was associated with larger tumors and tumors that surrounded the external cervical os.

Objective: To investigate the child's health condition with cerebral palsy accompanied in the Family Health Strategy. Method: Descriptive, exploratory and cross-sectional study, conducted with 13 children 1-12 years old. Through home visits investigating socioeconomic and health conditions, physical examination, vital signs, pneumofuncional evaluation and testing of the gross motor function classification system. Results: The majority of children a family income of up to 2 minimum wages, are benefited by the National Institute of Social Security, use the services of the National Health System also submitted respiratory function unchanged, growth putting structural suitable for age, prevalence of quadriparesia spastic, use of anticonvulsant medication, respiratory problems last year as influenza and pneumonia. Conclusion: It was observed that the higher the motor impairment developed more comorbidities. Children with cerebral palsy accompanied by the Family Health Program in Teresina, PI, are in proper health

Biopsy of the sentinel lymphnode (SLNB),

A incidência do melanoma cutâneo é crescente em todo o mundo. A presença de metástases em linfonodos é o mais importante fator prognóstico, sendo que a probabilidade de envolvimento linfonodal é maior nas lesões de maior espessura, ocorrendo em 20% dos pacientes com Breslow, de 1 a 4mm. A pesquisa do linfonodo sentinela já é padrão em melanoma e representou um avanço no tratamento da doença, por evitar linfonodectomias radicais desnecessárias, diminuindo a morbidade do tratamento. Apresentamos uma série de casos de pesquisa de linfonodo sentinela em pacientes com melanoma, em Teresina-Piauí, nos anos de 2008 e 2009.

Este estudo propõe-se a revisar os aspectos de indicação da cintilografia óssea no estadiamento e acompanhamento dos pacientes com câncer de próstata. Os autores fazem um levantamento da literatura e analisam os critérios de indicação do exame, comparando-o com outras modalidades propedêuticas na avaliação desses pacientes. As aplicações da cintilografia óssea no câncer de próstata são estabelecidas segundo os novos parâmetros descritos na literatura, levando em conta, ainda, a relação custo/benefício. Unitermos: Cintilografia óssea; Câncer de próstata.Bone scintigraphy in patients with prostate cancer. The aim of this study is to look over the indications for bone scintigraphy in the staging and follow-up of patients with prostate cancer. The authors reviewed the literature on the subject and analyzed the criteria used for indication of this test, and compared it with other methods for the evaluation of patients with this condition. Clinical applications of bone scintigraphy in prostate cancer are established according to new parameters described in the literature, also taking into consideration its cost-effectiveness.

The value of sentinel lymphnode biopsy or selective linfadenectomy in assessing axillary status in breast carcinoma is well established in medical literature. This work presents a briefy study from our preliminary experience with 53 patients submitted to pre-surgical limphoscintigraphy and intraoperatory detection of sentinel lymphnode and compares our records with those of current medical literature.
O valor da biópsia de linfonodo sentinela (linfadenectomia seletiva) na avaliação do status axilar no carcinoma da mama está bem definido na literatura médica. Neste breve relatório apresentamos um estudo retrospectivo de nossa experiência inicial com 53 pacientes submetidos à linfocintigrafia e detecção intraoperatória do linfonodo sentinela, comparando nossos dados com o da literatura atual